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Physician capability to electronically exchange clinical information, 2011.

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In 2011, most physicians could electronically share lab and medication data. However, only about one-third could exchange clinical summaries, with significant variation by state and electronic health record vendor.

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Area of Science:

  • Health Informatics
  • Medical Practice Management
  • Public Health

Background:

  • Electronic health records (EHRs) are increasingly adopted in healthcare settings.
  • Effective data exchange between providers is crucial for coordinated patient care.
  • Understanding the current landscape of physician data exchange capabilities is essential.

Purpose of the Study:

  • To estimate national physician capabilities for electronic clinical information sharing.
  • To analyze variations in data exchange across different US states.
  • To identify differences in exchange capabilities based on electronic health record (EHR) vendors.

Main Methods:

  • Utilized data from the 2011 National Ambulatory Medical Care Survey Electronic Medical Record Supplement.
  • Surveyed a nationally representative sample of 4326 nonfederal office-based physicians.
  • Employed multivariate analyses to assess factors associated with clinical information exchange.

Main Results:

  • In 2011, 55% of physicians could electronically send prescriptions and 67% could view lab results.
  • Only 31% of physicians exchanged patient clinical summaries electronically with other providers.
  • Physician adoption of EHRs was the strongest predictor of exchange capability, but significant state and vendor variations were observed.

Conclusions:

  • A majority of physicians could exchange lab and medication data electronically in 2011.
  • Electronic health records are key enablers of clinical data exchange.
  • Significant disparities in physicians' electronic data exchange capabilities exist by state and EHR vendor.